Sea2Summit PT and Sports Rehabilitation LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

SEA2SUMMIT PT AND SPORTS REHABILITATION LLC

Practice address

2130 Grant St
Bellingham, WA 98225-4203

Phone

(215) 817-8881

NPI assigned

Oct 6, 2021

Last updated

Dec 1, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Burns, DPTNPI 1700121829

Title

Owner

Phone

(215) 817-8881

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Anne Burns, PT

  • Physical Therapist
  • Bellingham, WA
  • NPI 1700121829
  Medicare reassignment NPD Authorized official
• Sidney K Anderson, PT

  • Physical Therapist
  • Bellingham, WA
  • NPI 1487688115
  NPD (past)
• Trevor C Ledain, PT

  • Physical Therapist
  • Bellevue, WA
  • NPI 1093821217
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1629730635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 PLYMOUTH DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251809",
            "telephone_number": "215-817-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 GRANT ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254203",
            "telephone_number": "215-817-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA2SUMMIT PT AND SPORTS REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-817-8881",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sea-Mar Community Health Center
• Sea-Mar Community Health Center
• Sea-Mar Community Health Center
• Sea-Mar Community Health Center
• Sea-Mar Community Health Center
• Sean Humphrey House a Nonprofit Corporation
• Richard Secrist, LMP
• Seegers Chiropractic Inc PS (Seegers Chiropractic)
• Cherrelyn Marye Seegers, D.C.
• Les R Seelye, DDS

• Orthopedic Physical Therapist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Orthopedic Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.